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Alabama Medicaid

Wednesday, January 17, 2018
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Provider Electronic Solution Software


Provider Electronic Solutions Software version 3.09 is now available.

• Software version 3.09 includes changing "RCO" references to "MCO" on eligibility response file and removing message regarding RCO from claim status response. Change field label on 837 claim forms crossover tab and eligibility response to display Medicare ID field label instead of HIC Number.

• Software version 3.08 includes updates to DXC logos and defaults ICD version to ICD 10.

• Software version 3.07 includes updates to allow up to 3 birthweights, and new inpatient admit source codes.

• Software version 3.06 includes updates for the Regional Care Organization that will be coming next year. Functionally, the software works the same and looks the same. Clarifying notes were added for when the RCO's go live. See the Application Update Log in the user manual for the software for specifics.

• For information about the Regional Care Organiztion in Alabama see Alabama Medicaid website at

• Software version 3.05 includes updates to allow up to 12 external cause of injury codes, default of ICD version to blank instead of 9, and display of Health Home information on eligibility responses.

• Software version 3.04 includes the ability to enter TPL adjustment information, 2% Sequestration, and Allowing $0 billed amount at the detail on professional claims for PACE.

• Software version 3.03 includes changes for the CORE Operating Rules Phases I & II which impacts the Eligibility Request and Response. Additional information concerning these changes can be found on the Alabama Medicaid website at: under the heading CORE Rules.

Please refer to Appendix C Change Log in the software User Manual for a full list of the changes included in the new Provider Electronic Solution software version.


• Software version 3.02 and all subsequent software versions will include changes for ICD-10.
• ICD-10 codes should not be submitted until the CMS mandated date of October 1, 2015.
• The ICD version on new Claims and Prior Authorizations will default to blank.
• The Procedure/HCPCS and Diagnosis list are split based on ICD version.
• Users may begin building ICD-10 lists now.

• Users must perform an upgrade through each software version to successfully upgrade an older version of a database.

LTC Admission Notification